VE RAT RUM ALBUM. 215 



tities, had had no effect, except the production of scanty vomiting . 

 which did no good, but only increased the faintness. 



"When I arrived both seemed at the point of death; dis- 

 torted projecting eyes, disfigured cold countenance, lax mus- 

 cles, closed jaws, imperceptible respiration. The infant was the 

 worst. The impending death by apoplexy, the failing irritability, 

 at once induced me to combat the symptoms, if possible, with 

 strong coffee* I introduced, as far as the clenched jaws would 

 allow me, warm coffee into the mouth, but I chiefly sought 

 to give it in large quantity by means of an enema, it was suc- 

 cessful; in the course of an hour all the danger was gone, and 

 the heat, the consciousness, and respiration returned." 



:). — Hah 



C( 



( 



album) produces the most poisonous effects, which would inspire 

 the physician who aspires to perfection with caution, and the 

 hope of curing some of the most troublesome diseases that have 

 hitherto usually been beyond medical aid. It produces in its 

 direct action a kind of mania, amounting, from larger doses, to 

 hopelessness and despair ; small doses make indifferent things 

 appear repulsive to the imagination, although they are not so 

 in reality. It causes, in its direct action — a, heat of the whole 

 body ; b, burning in different external parts, e. g., the shoulder- 

 blades, the face, the head; c, inflammation and swelling of the 

 skin of the face, sometimes (from larger doses) of the whole 

 body ; e£, cutaneous eruptions, desquamation of the skin ; e, a 

 formicating sensation in the hands and fingers, tonic cramps; 

 /, constriction of the gullet of the larynx, sense of suffocation ; 

 g, rigidity of the tongue, tough mucus in the mouth ; h, con- 

 striction of the chest ; i, pleuritic symptoms ; k, cramp in the 

 calves; /, an anxious (gnawing?) sensation in the stomach, 

 nausea ; m, gripes, and cutting pain here and there in the bowels ; 

 n 3 great general anxiety ; o, vertigo ; p, headache (confusion of 

 the head); q, violent thirst. On passing into the direct secon- 

 dary action, the tonic cramps resolve themselves into clonic 



